Northern Colorado Clutter Task Force

The Northern Colorado Clutter Task Force is a team of government agencies, community groups and relevant businesses united to identify and reduce hoarding behavior in Fort Collins and surrounding communities.

Our Mission

To identify and respond to incidences of extreme clutter in Northern Colorado through interagency coordination, thereby increasing public safety and providing educational opportunities and enforcement services to community partners.

Our Goals

Identify best practices for addressing individuals who engage in hoarding behavior

Foster a spirit of innovation in regards to community responses to clutter

How We Work

The task force receives a referral from a partner agency (through the form below.)

We make contact with the resident suffering from clutter and assess their needs.

Based on that, we connect the resident to necessary services to make their home safe.

Cases are prioritized according to the motivation of the resident and their willingness to work with us as well as level of clutter and safety concerns.

This form is used by PFA partner agencies to report extreme clutter in homes. Information shared via this form may be shared with other agencies in the interest of linking the resident with appropriate services.

Please correct the field(s) marked in red below:

Person Referring

1

Name:

Name:

2

Organization: (This service is available only to PFA partner agencies and is not available to private citizens)

Organization: (This service is available only to PFA partner agencies and is not available to private citizens)

3

Phone:

Phone:ext.

4

Email:

Email:

Person Being Referred

5

Name of Resident:

Name of Resident:

6

Age:

Age:

7

Phone:

Phone:ext.

8

Do any of the following statements apply to this resident?

Do any of the following statements apply to this resident?

Resident suffers from a mental condition (other than hoarding.)

Resident has been cited or ticketed due to hoarding.

Resident has a history of drug or alcohol abuse.

Resident has a history of violence.

Resident could be considered reclusive and doesn't answer door/phone.

9

How willing is this resident to change their behavior (if known?)

How willing is this resident to change their behavior (if known?)

Very (resident resognizes problem and wants help to change)

Somewhat (Resident recognizes problem but is unsure of what to do)

Not much (Resident acknowledges some part of the problem but is hesitant to change)

Not at all (Resident denies any problem exists)

10

Please elaborate on any boxes checked above or any other important information about the resident.

(Include any info about the resident such as physical/mental conditions, length of hoarding behavior or other pertinant information)

11

Address(s) of Residence

Address(s) of Residence

12

Other addresses affected by hoarding behavior:

Other addresses affected by hoarding behavior:

13

Hoarding Scale (See "Hoarding Clutter Image Scale" on right side menu to determine)

Hoarding Scale (See "Hoarding Clutter Image Scale" on right side menu to determine)

14

People Sharing Residence: (If yes, list ages and relationship)

People Sharing Residence: (If yes, list ages and relationship)

15

Do any of the following conditions exist?

Do any of the following conditions exist?

Visible clutter spilling out into the yard.

Lack of Utility Service (hot water, electricity, heating)

Children are present in this home.

Offensive odors or clutter impact neighboring residences.

Adults in this home show signs of neglect and/or abuse.

Animals are present in this home (Please note number, type, and condition of animals below.)

This is a rental unit and/or apartment (Please include landlords contact info in space below.)

16

Please elaborate on the boxes you checked above and add any other important information about the condition of the home.

(Include any info about the condition of the home, presence of hazards or animals or anything else relating to the home)